Seligmann M, Mihaesco E, Chevalier A, Miglierina R
Ann Immunol (Paris). 1978 Oct-Dec;129 C(6):855-70.
The serum of a patient with multiple myeloma contained an IgG1 kappa monoclonal protein which existed in two molecular species: one with and one without inter-heavy chain covalent bonds, the latter dissociating into half molecules without reduction. The half molecules were present in the urine together with a kappa Bence-Jones protein. This peculiar protein was discovered because the serum and urinary IgG formed double percipitin lines when analysed by immunoelectrophoresis with an antiserum to gamma chains, the inner line being due to residual normal IgG. The isolated half molecule, as well as the major constituent of the 7 S IgG fraction, failed to precipitate with most antisera specific for the Fc fragment of IgG. The half molecule lacked the Gm(non a) marker and other antigenic determinants of the third constant region of gamma1 chains. No isotypic or allotypic antigenic determinant of another immunoglobulin class or subclass was detected. The molecular weights of the 7 S molecule, the half molecule and its covalently linked heavy and light chains were about normal, suggesting that they did not have a large deletion which could have caused the lack of interheavy chain covalent bonds. The hinge peptide appeared normal after high voltage electrophoresis of the peptic-tryptic digest of the reduced and alkylated half molecule. The carboxy-terminus of the heavy chain and the amino acid composition of the molecule were similar to those of IgG1 myeloma proteins. Two cysteinyl peptides of the CH3 domain showed on a diagonal peptidic map an electrophoretic mobility somewhat different from that of the corresponding peptides of an IgG1 myeloma protein. Another peculiar feature of this protein was the presence of galactosamine. Idiotypic determinants of the half molecule were present in the 7 S fraction, suggesting that the 7 S IgG molecules and the half molecules were derived from the same clone of tumour cells. Lack of material precluded further characterization of the structural abnormality--probably located in the third constant domain of the heavy chain--responsible for the absence of most antigenic determinants of the Fc region of IgG1 and for the formation of half molecules. This abnormality could be a small deletion undetectable by molecular weight measurements or an unidentified exchange of genetic material. Family members of the patient could not be studied in order to investigate whether this immunoglobulin abnormality reflected a minor genetic variant or a mutational event.
一名多发性骨髓瘤患者的血清中含有一种IgG1 κ单克隆蛋白,它以两种分子形式存在:一种带有重链间共价键,另一种没有,后者在未还原的情况下可解离成半分子。这些半分子与一种κ本-周蛋白一起存在于尿液中。这种特殊的蛋白之所以被发现,是因为当用抗γ链抗血清进行免疫电泳分析时,血清和尿液中的IgG形成了双沉淀线,内线是由残留的正常IgG所致。分离出的半分子以及7S IgG组分的主要成分,不能与大多数针对IgG Fc片段的抗血清发生沉淀反应。该半分子缺乏Gm(非a)标记以及γ1链第三恒定区的其他抗原决定簇。未检测到其他免疫球蛋白类别或亚类的同种型或异型抗原决定簇。7S分子、半分子及其共价连接的重链和轻链的分子量大致正常,这表明它们没有可能导致重链间共价键缺失的大片段缺失。在对还原和烷基化后的半分子进行胃蛋白酶-胰蛋白酶消化产物的高压电泳后,铰链肽看起来正常。重链的羧基末端和该分子的氨基酸组成与IgG1骨髓瘤蛋白相似。CH3结构域的两个半胱氨酰肽在对角线肽图上显示出的电泳迁移率与IgG1骨髓瘤蛋白相应肽段的电泳迁移率略有不同。这种蛋白的另一个独特特征是存在半乳糖胺。半分子的独特型决定簇存在于7S组分中,这表明7S IgG分子和半分子源自同一肿瘤细胞克隆。由于缺乏材料,无法对导致IgG1 Fc区大多数抗原决定簇缺失以及半分子形成的结构异常(可能位于重链的第三恒定结构域)进行进一步表征。这种异常可能是分子量测量无法检测到的小缺失,或者是未确定的遗传物质交换。无法对患者的家庭成员进行研究,以调查这种免疫球蛋白异常是反映了一种微小的基因变异还是一个突变事件。